Individual
CONSTANCE D PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19150 KEDZIE AVE STE 200, HOMEWOOD, IL 60430-4541
(708) 752-5306
(708) 274-1982
Mailing address
1245 N ARBOGAST ST, GRIFFITH, IN 46319-1842
(708) 752-5306
(708) 274-1982
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
149.031459
IL
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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